Abstract
ABSTRACTObjective:To share our first experience with laparoscopic pectopexy, a new technique for apical prolapse surgery, and to evaluate the feasibility of this technique.Materials and Methods:Seven patients with apical prolapse underwent surgery with laparoscopic pectopexy. The lateral parts of the iliopectineal ligament were used for a bilateral mesh fixation of the descended structures. The medical records of the patients were reviewed, and the short-term clinical outcomes were analyzed.Results:The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period.Conclusion:Although laparoscopic sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical prolapse surgery.
Highlights
Pelvic organ prolapse (POP) affects millions of women worldwide, and is a health problem for 50% of parous women aged over 50 years [1]
The number of surgical procedures performed for prolapse has increased enormously in recent years, as a result of changes in population distribution; while 12.7% of women in the United States were aged over 65 in 2000, this figure will rise to 20% by 2030 [2]
Apical prolapse refers to the downward displacement of the vaginal apex, uterus, or cervix
Summary
Pelvic organ prolapse (POP) affects millions of women worldwide, and is a health problem for 50% of parous women aged over 50 years [1]. The number of surgical procedures performed for prolapse has increased enormously in recent years, as a result of changes in population distribution; while 12.7% of women in the United States were aged over 65 in 2000, this figure will rise to 20% by 2030 [2]. Apical prolapse refers to the downward displacement of the vaginal apex, uterus, or cervix. It may be associated with various signs and symptoms, including vaginal bulging, palpable or visible tissue protrusion, pelvic pain, dyspareunia, or obstructed intercourse. Women with apical prolapse often experience altered bladder and bowel functions, such as irritative or obstructed voiding, urinary retention or urinary incontinence, obstructed defecation, and fecal urgency or fecal incontinence [4]
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